Dental
Ewa, Melissa
Ewa, Melissa was paid $1.35M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is D4341, — 17% of everything it billed.
33Billing provider infoEWA, MELISSA
EVERGREEN PARK, IL 60805
EVERGREEN PARK, IL 60805
33aNPI1386033496assigned 01/13/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$1.35M
24GClaims38,168
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Illinois
Rank by total paid#87 of 1,017
Median peer was paid$123K
This provider vs. median11×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,291 | $44K | |
| 2019 | 3,210 | $69K | |
| 2020 | 502 | $8K | |
| 2021 | 148 | $2K | |
| 2022 | 11,493 | $403K | |
| 2023 | 18,237 | $768K | |
| 2024incomplete | 2,287 | $60K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D4341 | 17% | 1,585 | 768 | $231K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 11% | 1,725 | 911 | $155K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.9% | 2,582 | 2,528 | $107K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.5% | 1,590 | 1,007 | $101K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 6.8% | 1,130 | 721 | $92K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.5% | 3,240 | 3,170 | $89K |
| D1351 | Sealant - per tooth | 5.2% | 1,390 | 494 | $71K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.2% | 1,443 | 835 | $71K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.1% | 2,851 | 2,787 | $69K |
| D1110 | Prophylaxis - adult | 3.7% | 1,137 | 1,117 | $50K |
| D0274 | Bitewings - four radiographic images | 3.7% | 3,057 | 2,991 | $50K |
| D2740 | Crown - porcelain/ceramic | 3.5% | 183 | 149 | $48K |
20 more codes
| D1208 | Topical application of fluoride, excluding varnish | 3.2% | 1,682 | $44K |
| D0220 | Intraoral - periapical first radiographic image | 2.1% | 5,182 | $29K |
| D0140 | Limited oral evaluation - problem focused | 2.0% | 1,437 | $27K |
| D0330 | Panoramic radiographic image | 1.6% | 973 | $21K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.4% | 4,427 | $19K |
| D1206 | Topical application of fluoride varnish | 1.3% | 643 | $17K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 295 | $13K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 783 | $12K |
| D2335 | <1% | 73 | $7K | |
| D2332 | <1% | 61 | $6K | |
| D2394 | <1% | 69 | $6K | |
| D8670 | Periodic orthodontic treatment visit | <1% | 24 | $5K |
| D9110 | <1% | 81 | $4K | |
| D0272 | Bitewings - two radiographic images | <1% | 303 | $3K |
| D4910 | <1% | 38 | $3K | |
| D2950 | <1% | 30 | $2K | |
| D9310 | <1% | 109 | $2K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 18 | $866.70 |
| D2330 | <1% | 12 | $730.52 | |
| D1999 | 0% | 15 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.